Understanding Neurology: Why Normal Tests Don't Always Mean No Issues
Neurology-related issues? I would like to ask about my recent experience with headaches, which led me to see a doctor. The doctor arranged for blood tests, a CT scan, and an EEG, all of which came back normal. I want to understand why these tests not showing any issues does not n...
Dr. Cai Zongzhang Reply:
Hello, there are many causes of headaches, and various examinations or imaging studies can be used as diagnostic tools. I recommend that you continue to discuss with your physician to identify the underlying cause of your headaches.[Read More] Understanding Neurology: Why Normal Tests Don't Always Mean No Issues
Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Sneezing, coughing, and then experiencing a headache? Hello, doctor. I am 26 years old. A few days ago, I experienced an allergic asthma attack, and the doctor prescribed a bronchodilator, which helped. However, I started to have headaches afterward. I often feel pressure in the ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of right occipital pain is cervical myofascial pain. Prolonged periods of looking down can lead to overuse of the trapezius muscle in the neck, resulting in neck and shoulder discomfort. Initially, resting may alleviate the ...[Read More] Understanding Headaches: Sneezing, Coughing, and Neurological Concerns
Headache Triggered by Eye Movement: Is It a Cold Complication?
Eye movement causes headaches? Two days ago, I woke up feeling like I had a cold with a slight fever. I had a severe headache accompanied by muscle aches, but I still went to class. In the afternoon, I took a nap for over three hours, but I still didn't feel any better. Afte...
Dr. Cai Zongzhang Reply:
Hello, if the symptoms persist, it is recommended that you visit an outpatient clinic for an examination.[Read More] Headache Triggered by Eye Movement: Is It a Cold Complication?
Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Head issues Hello, I have a sensation of pressure near the back of my head close to my neck. I do not experience dizziness or headaches, and this symptom has persisted for over a year. It feels very much like muscle tension, as if my neck lacks the strength to support my head. I ...
Dr. Jiang Junyi Reply:
Hello, based on your description, the most common cause of pain in the posterior neck is cervical myofascial pain. This issue is primarily characterized by degeneration of the cervical spine on CT scans, while brain imaging is mostly normal. Prolonged periods of looking down can ...[Read More] Understanding Neck Tension: Symptoms and Solutions for Head Pressure
Understanding Eyelid Twitching: When to See a Neurologist?
Eyelid twitching? Hello Doctor, I would like to ask about my eyelid twitching, which has been continuous for a week. Is it necessary to seek medical attention? I'm not sure if I'm experiencing vertigo or if the eyelid twitching is causing visual disturbances, making eve...
Dr. Hong Weibin Reply:
Hello: If you experience persistent twitching of the upper eyelid accompanied by nystagmus, it is advisable to seek assistance from a neurologist. If the symptoms do not improve, a head imaging study may be arranged.[Read More] Understanding Eyelid Twitching: When to See a Neurologist?
Understanding Hand Tremors: Causes and Concerns for Athletes
Tremor issues? Hello doctor, I am a baseball player. Sometimes my fingers tremble even when they are at rest, but it's not very pronounced. They also shake a bit when I write, but again, it's not severe. When I hold things, they tremble too, and sometimes my head feels ...
Dr. Cai Zongzhang Reply:
Hello, if you are engaging in intense exercise for an extended period, it is likely that fatigue may lead to muscle failure. If your team has a sports trainer, it is advisable to discuss this with them. If not, you may consult an orthopedic or rehabilitation physician with expert...[Read More] Understanding Hand Tremors: Causes and Concerns for Athletes
Understanding Neurological Symptoms: When to Consider an MRI
Cerebrovascular disease Hello, doctor. I have been experiencing numbness in my hands and feet, as well as in my head, for the past three years. I have undergone a carotid ultrasound, and the results were normal. Should I still consider getting an MRI?
Dr. Cai Zongzhang Reply:
Hello, it is recommended that you continue to discuss relevant examinations and treatment matters with your physician.[Read More] Understanding Neurological Symptoms: When to Consider an MRI
Understanding Frequent Headaches and Dizziness: Causes and Solutions
Frequent headaches accompanied by intermittent dizziness? Hello, I would like to ask about experiencing frequent and irregular headaches, occasionally accompanied by dizziness. The headaches do not have a consistent duration; sometimes they occur upon waking up, and other times t...
Dr. Jiang Junyi Reply:
Hello: Your symptoms may suggest chronic daily headache, which has four subtypes: chronic migraine, chronic tension-type headache, new daily persistent headache, and hemicrania continua. Additionally, it is important to consider whether there is a problem with medication overuse ...[Read More] Understanding Frequent Headaches and Dizziness: Causes and Solutions
Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Muscle twitching and weakness? Hello, Doctor: I would like to ask about frequently feeling muscle twitching throughout my body, without a specific location, usually just a few twitches. I also experience headaches and dizziness, along with a general sense of fatigue and weakness....
Dr. Jiang Junyi Reply:
Hello, based on your description, if you are concerned about autonomic nervous system issues, you can undergo autonomic nervous system testing to check for any abnormalities in your heart rate variability. The symptoms you described may also warrant consideration of obstructive s...[Read More] Muscle Twitches and Weakness: Understanding Possible Neurological Issues
Understanding Dizziness and Visual Disturbances: When to Seek Help
Dizziness/headache with visual disturbances? Hello Doctor, last weekend I experienced a sudden sharp pain on the left side of my head, and since then I have felt as if a layer of bright glitter has been placed over my vision, which has persisted for about five days. (However, the...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider a migraine with aura. Symptoms include visual disturbances such as seeing stars and lightning-like flashes, as well as blurred or distorted vision, which are all common migraine auras. A few minutes after the aura ...[Read More] Understanding Dizziness and Visual Disturbances: When to Seek Help
Do You Need Further Testing for Headaches? Insights from Neurology
Do headaches require further examination? Hello Doctor, I am 56 years old. In early March of this year, I experienced a severe headache for the first time due to stress. It resolved on its own within 1 to 2 hours without medication. In early May, while traveling abroad, I had thr...
Dr. Hong Weibin Reply:
If your headache triggers are tension and lack of sleep, and your headache improves after taking medication and adjusting your lifestyle, it indicates that you are experiencing a primary headache. Primary headaches include tension-type headaches and migraines, among others, and d...[Read More] Do You Need Further Testing for Headaches? Insights from Neurology
Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Muscle twitching, migraine? Hello doctor, I would like to ask if the following symptoms my friend experiences while sleeping are normal and if she needs to go to the hospital for an examination. She is 20 years old, does not smoke or drink alcohol, has a family history of diabete...
Dr. Cai Zongzhang Reply:
Hello, regarding your friend's issue, it is uncertain if he is simply too fatigued. Especially considering the sleep conditions you described, this phenomenon may occur due to excessive fatigue or long-term irregular sleep patterns. It is recommended that he maintains a regu...[Read More] Understanding Sleep Tremors and Migraines: When to Seek Medical Advice
Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Abnormal head pain Recently, my father has been experiencing severe headaches that are so intense they cause him to tear up. He has already seen doctors at Cheng Kung University and Chi Mei Hospital, but they all mentioned that neuralgia is difficult to diagnose and there are no ...
Dr. Hong Weibin Reply:
There are many causes of headaches, including primary headaches (such as migraines and tension-type headaches) and secondary headaches (such as brain tumors). There are also neuropathic pain conditions (such as trigeminal neuralgia) and vascular pain (such as cerebral aneurysms)....[Read More] Understanding Unexplained Severe Head Pain: Possible Causes and Insights
Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Chronic headaches Hello, I have just gone through menopause for two years and am experiencing some mild symptoms. Before menopause, I occasionally had migraines (often on the right side, sometimes severe enough to cause vomiting, with overall weakness and loss of appetite, requir...
Dr. Jiang Junyi Reply:
Hello: Your symptoms are likely indicative of a mixed headache. Given the presence of localized tender points, tension-type headache should be considered first. The symptoms of tension-type headache include: (1) Typically bilateral, located in the occipital and parietal regions, ...[Read More] Understanding Post-Menopausal Migraines: Symptoms, Causes, and Treatment Options
Understanding Persistent Head Pressure: Could It Be Anxiety?
Could you please clarify what you mean by "head heaviness"? After experiencing a sudden episode of dizziness (the spinning type), I have frequently felt heavy-headed (almost every time I wake up) and have a sensation of pressure in my head (almost every time I wake up) ...
Dr. Jiang Junyi Reply:
Hello: I am not sure if you are taking any anti-anxiety medications. Your symptoms may need to consider the side effects of the medication. If you experience daytime inattention and frequent drowsiness, it may be worth considering a sleep disorder, with obstructive sleep apnea be...[Read More] Understanding Persistent Head Pressure: Could It Be Anxiety?
Do I Need Lifelong Medication for Epilepsy After Head Injury?
Hello, Dr. Tsai? I developed epilepsy due to a head injury I sustained in childhood. Do I need to take medication long-term? If I miss just one dose, my blood concentration drops, and I am very prone to seizures.
Dr. Cai Zongzhang Reply:
Hello, medication is the primary method for treating epilepsy, and the vast majority of patients can control their condition through pharmacological treatment. Since epilepsy is a chronic disease, long-term medication is necessary.[Read More] Do I Need Lifelong Medication for Epilepsy After Head Injury?
Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Dizziness / Eyes / Ears / Soreness Hello, I would like to ask about a sudden onset of dizziness I experienced one day, followed by discomfort and a feeling of pressure in one eye. After visiting an ophthalmologist, I was told everything was fine. Then, I started experiencing ear ...
Dr. Jiang Junyi Reply:
Hello: Many factors can cause symptoms of dizziness, such as anemia, autonomic dysfunction, inner ear imbalance, and even Meniere's disease. Blood tests should include the differentiation of possible complications (anemia, hyperthyroidism/hypothyroidism, diabetes, recurrent ...[Read More] Understanding Persistent Dizziness and Discomfort: A Neurological Perspective
Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
I have been experiencing continuous light sleep and vivid dreaming for almost three weeks? Hello, doctor. For the past two weeks, I have been dreaming every night and experiencing shallow sleep. The longest continuous sleep I get is about four hours, and in the worst cases, I wak...
Dr. Jiang Junyi Reply:
Hello: There are many potential causes for your insomnia, such as watching television before bed, consuming spicy foods at dinner that elevate metabolism, or experiencing sleep apnea. I recommend improving your sleep hygiene: try to avoid napping during the day. Avoid drinking co...[Read More] Struggling with Frequent Dreams and Shallow Sleep: Seeking Solutions
Managing Seizures Triggered by Antidepressants: A Patient's Journey
Post-drug-induced epilepsy Hello Doctor, about 14 years ago, I experienced a head injury. I have a history of depression and sleep disorders, and my depression improved over time. However, approximately 12 years ago, I fainted in the bathroom after taking antidepressant medicatio...
Dr. Cai Zongzhang Reply:
Hello, epilepsy requires regular medication adherence and treatment according to the physician's instructions. Additionally, maintaining a stable daily routine can help stabilize the condition.[Read More] Managing Seizures Triggered by Antidepressants: A Patient's Journey
Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective
Shoulder pain, facial numbness, and dizziness? Sometimes I feel dizzy, but the surrounding objects do not spin. Occasionally, I experience slight pressure at the back of my head, and my left arm, from the upper arm to the ring and little fingers, sometimes feels a bit numb, altho...
Dr. Jiang Junyi Reply:
Hello, based on your description, it may be necessary to consider degenerative changes in the cervical and thoracic spine causing compression of the nerve root at the first thoracic vertebra. This is primarily due to prolonged poor posture with the head bent forward, leading to c...[Read More] Understanding Shoulder Pain, Numbness, and Dizziness: A Neurology Perspective